HomeMy WebLinkAboutWater Meter - 01/02/2004 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: -.) C" ` °
Meter(s) Installed At: 1 e ( e
:54 n e
Name of Owner: v 5 0 v e S
Address of Owner. LIO t (a ' Au e-
Meter(s) Size: 3 /L 1 ' (j sh Kvs h / w 5 0
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi-Unit, Multiple Meter
Single Meter MIN =LAToMwALVa
1I..
MEOW �.W
osemaarro
ol---' NOW= VMVa 1
MONO COMM NAM
rwsONOO MeM ILVAWs
Typical Deduct Meter Typical Water Use Only Meter
NO SAMAR,r M OR T=WAS
tewoe Oso� w
w O■oostO •
ALLOWED INUNTANT IBM l ND . _ ONONAINN
ONCINNIE
SAMIIITAIRT
.1111r .77
VALVE
1MEt NILI.Ns iOII VALVES
INNO•MI Ci'MT4 . VANN
Note: 1. A Plumbing Permit may be required prior to the installation of the issued water
meter(s).
2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a home
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236 -5052.
3. Meters > 1 -1/2" require a bypass.
Meter(s) will be installed and used according to the above information.
S
5c4t-F,'-ens‘ T1 e%
Signature of Owner or Agent Print Name of Applicant and Company
•